David L. Diedrichsen, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3056 Issued in NV

Practice address

75 Pringle Way
Suite 601
Reno, NV 89502-1464

Phone

(775) 326-8380

Fax

(775) 786-8684

NPI assigned

Oct 3, 2006

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1871687897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "SUITE 601",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021464",
            "telephone_number": "775-326-8380",
            "fax_number": "775-786-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY",
            "address_2": "SUITE 601",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021464",
            "telephone_number": "775-326-8380",
            "fax_number": "775-786-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDRICHSEN",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00253305",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Dickson
• Joshua Kent Dickson
• Michael Todd Dicus, D.M.D.
• Eric Diddy, PH.D.
• Jonnie Diederich, PTA
• Aaron Dieringer, MD
• Geoffrey Mahlon Dieringer, LMSW, CSW-I
• Paul E Dieringer, M.D.
• Deborah Anne Dieter
• Mary Katherine Diethrich, R. N. C.D.E.

• Internal Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.